Dr. Akash Bande | Urologist In Nagpur | Best Kidney Stone Treatment Doctor In Nagpur | Best Urologist In Nagpur

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TURP Surgery

Transurethral Resection of the Prostate (TURP) is a surgical procedure used to treat urinary problems caused by an enlarged prostate, a condition known as Benign Prostatic Hyperplasia (BPH). TURP is considered the gold standard for relieving moderate to severe urinary symptoms in men with BPH.

Indications for TURP

TURP is recommended for:

  • Difficulty starting urination or a weak urine stream.
  • Frequent or urgent need to urinate, especially at night (nocturia).
  • Incomplete emptying of the bladder.
  • Recurrent urinary tract infections (UTIs).
  • Bladder stones or damage due to chronic urinary retention.
  • Inability to urinate (urinary retention).

Procedure Overview

  • Preoperative Preparation:

    • A thorough evaluation, including blood tests, urine tests, and imaging studies, is conducted.
    • Anesthesia (spinal or general) is administered to ensure patient comfort.

  • Surgical Process:

    • A resectoscope (a thin tube with a camera and cutting instrument) is inserted through the urethra into the prostate.
    • The surgeon removes small pieces of the prostate tissue that are obstructing the urinary flow.
    • A saline solution is used to irrigate the area and flush out removed tissue.

  • Catheter Placement:

    • A catheter is placed in the bladder at the end of the surgery to aid urine drainage and allow the area to heal.

Benefits of TURP

  • Effective Symptom Relief: Quickly improves urine flow and resolves urinary retention.
  • Minimally Invasive: Performed through the urethra without external incisions.
  • Short Recovery Time: Most patients resume normal activities within a few weeks.
  • Long-Lasting Results: Provides durable relief from BPH symptoms.

Risks and Complications

Although TURP is generally safe, potential risks include:

  • Bleeding: Minor bleeding is common but usually resolves quickly.
  • Infection: Managed with antibiotics.
  • Retrograde Ejaculation: Semen flows backward into the bladder rather than out through the penis, which is harmless but may affect fertility.
  • Temporary Urinary Incontinence: Often improves within weeks or months.
  • Urethral Stricture: Narrowing of the urethra, which may require additional treatment.

Recovery and Aftercare

  1. Hospital Stay: Most patients stay in the hospital for 1–2 days.
  2. Catheter Use: The catheter is typically removed within a few days.
  3. Pain Management: Mild discomfort is managed with pain relievers.
  4. Activity Restrictions:
    • Avoid heavy lifting or strenuous activity for 4–6 weeks.
    • Drink plenty of fluids to flush out the bladder.
  5. Follow-Up: Regular follow-up visits are scheduled to monitor recovery and ensure symptom relief.

Who Performs TURP?

TURP is performed by urologists with expertise in endoscopic surgical techniques.

Alternatives to TURP

  • Laser Surgery: Minimally invasive and involves using a laser to remove excess prostate tissue.
  • Prostatic Urethral Lift (PUL): Implanting devices to hold the prostate tissue away from the urethra.
  • Medication: Alpha-blockers or 5-alpha reductase inhibitors for managing mild symptoms.
  • Open Prostatectomy: For significantly enlarged prostates, involving open surgery.

Why Choose TURP?

  • Proven Efficacy: Trusted for decades as the standard treatment for BPH.
  • Symptom Resolution: Offers faster and more noticeable improvement compared to medication.
  • Widely Available: Performed in most hospitals with modern urology departments.

If you’d like more information about TURP surgery, including cost, best hospitals, or skilled surgeons, let me know!

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